Sample Record

DIME Sample ID 2024-01-29-12

Project Information

Project IdentifiersProject ID: 995260
DEA: 061G0504
EFIS: 0623000195
DIST-CO-RTE-PM06-FRE-VAR,(180),245-99/104, (99.0)/0.0/(104.0)/9.0
Award Date03/29/2023
Closeout DateNot set
Work DescriptionRoutes 180, 245 Emergency Slip Out Repair
Location DescriptionNot set
QA Service Level1 (Verified on 10/20/2023)

Owner Lab

  • CT D06 - Millbrook Field Laboratory

Sample Information

Sample Taken Date01/29/2024 Sample Unique Key12
Date that the sample was received by the laboratory/organization performing the testing01/29/2024 Sample typeDepartment Acceptance
A brief description of the sampleSoil for structure backfill (AB) The quantity of what the sample constitutes1 Bucket
From where was the sample collectedJob Site First name of sampler or witnessed byArthur
Last name of sampler or witnessed byMills Title of samplerConsultant
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility nameCal Valley Construction
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeSoil The fabricator's/manufacturer's product name for the sample
The fabricator/manufacturer designation for the sample A detailed description of where the material sample was collectedSTA 1+20-1+40
Where the material sample would have been placed if not sampled

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments